You know what befuddles me? Clinical nutrition confuses the heck out of me. The adjective ‘clinical’ implies that I’m talking about the medical aspects, the science of nutrition, not the basics. Of course, you know what constitutes basic nutrition. Everyone does. The simple rules seem well…so simple. (With JMM-to-patient commentary in italics.) Consume fewer calories. […]
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Today is the third and final day of the Boston AF symposium. (My editorial comments in italics.) Dr Hugh Caulkins started the day by reviewing the major clinical trials of AF ablation. A lot of these I have written about previously. One of the most pivotal trials to mention is CABANA. Here, investigators are enrolling […]
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Live Blog–Boston AF symposium
I’ve never tried this before: giving some brief snips of an AF symposium, on the fly. Maybe doing so will help me remember. My comments are in italics. Little proofreads–consider these quick notes. First talk: Dr Jalife. Molecular mechanisms AF: Think fibrosis, or the infiltration of scar tissue within the muscle of the heart. This […]
There was a very controversial presentation made at a recent meeting of heart doctors in Canada. I’ve been stewing about what to say about it for a week. The title speaks to its inflammation: Fat, unfit, unmotivated: Cardiologist, heal thyself The presenter that made the stir, pediatric cardiologist, and IronPerson, Dr Brian McCrindle (Toronto) argued […]
An athletic lifestyle offers many health benefits. This is hardly news. Exercise, attention to good eating and getting adequate rest makes everything better: lower blood pressure and cholesterol levels, higher heart rate turbulence and better survival in the event of heart attack and Cancer, just to name a few. The list of positives approaches infinity. […]
Imagine if there was an emerging epidemic of slow cyclists. It wasn’t always like this. Despite their lack of feather-light bikes, carbon-soled shoes, wind-cheating lycra, people used to go really fast on their bikes. Are you still imagining? Imagine if people spent more money on “things†that might make them faster: they buy better equipment, […]
Did you know September is AFib awareness month? As a believer in education as the first, and best treatment of AF, I think it’s great to enhance the public knowledge of this highly-misunderstood disease. By all means… Tell people about AF’s risks: stroke and heart failure. Tell them that their fatigue, poor exercise tolerance and […]
There’s a lot about health care news that can get you down. There’s the un-insured. The obesity crisis. Stifling regulation. Adverse effects from drugs and devices. Mistakes even. Today, though, I would like to tell you about an inspiring success story here at my little hospital–a cabin in the woods of sorts. Our motto is […]
Reports documenting the dangers of Non-Steroidal-Anti-Inflammatory Drugs (NSAIDs) continue to generate headlines. It’s a steady stream of bad news for patients who take these widely-available pain relievers. Sorry about the repetition folks, but it’s hard to ignore my daily email updates from the American College of Cardiology when they so directly pertain to endurance athletes. […]
It’s funny how coincidence works in medicine. A number of patients, and a couple of cyclists, have recently asked me about the worthiness of omega-3 supplements. And there it was today when I checked the mail: a comprehensive review article on n-3 Fatty Acids in Cardiovascular Disease, in this week’s New England Journal of Medicine. […]
Doctors are suffocating under a fume of regulation. Our relationships with patients poked at incessantly. Our autonomy, and ability to use nuance hang by a thread. Our patients consume more care, but get sicker still. The health of the citizenry grows so woeful that it endangers our economy, and even our Armed Forces. But there […]